Anyone can suggest the best Positive Pressure Caps on the market today? I appreciate responces.
Â Inna P.
Additionally, due to the high level of importantce, i.e effective October 2008 CMS will no longer reimburse hospitals for hospital acquired infections, there are a few other ways to ensure the bestÂ valve selection. LookÂ to the FDA for guidance, has the valve been tested to the most recent testing guidelines? Many of the valves on the market were designed to eliminate needlesticks rather than infection.Â In 2005 the FDA posted new more clinically relevent criteria for new valve approval.Â While all valves can and should submit evidence permitting them to make the same claims most have not done so. (why?) An easy way to establish wether or not the valve has met the most recent guidelines is to simply look at the date, was it issuewed before or afterÂ 2005?Â
Another important question: Does the valve technology support and promote best nursing practices?Â Many invitro tests tell us information that is not "bedside relevent" because it does not reflect the real bedside usage. (repeat insertion with the same luer, lack of disinfection of the valve)Â
Remember theÂ purpose of the valve is to protect the line hense protect the patient. It is easy to isolate features.Â But bedside outcomes areÂ showing that it is aÂ combination of features (ability to disinfect, visible fluid path, consistent line clearence) as well as good practice. Like our industry experts have said, most importantlyÂ we must keep the All bacteria out, many devices to not allow nurses to do that no matter how much they try.Â
I surveyed some youger nurses at a teaching institution using a negative reflus device that is used on central lines. None of them had ever been taught the positive flush techniqueÂ needed to maintain these lines.Â All of them describe occlusion issues even visual "tails" when they remove lines.Â
Hope this helps in you descision.Â